CLABSI Prevention
When a patient has a central line, the patient should receive a CHG skin treatment this frequently.
What is daily?
If a patient fails their trial of void, this procedure should be done indefinitely if appropriate and tolerated, as an alternative to indwelling urinary catheter placement.
What is intermittent straight catheterization?
Patients who are colonized or infected with C. auris must be placed on isolation using this transmission-based precautions category.
What is specialplus contact precautions?
A healthcare worker should always perform hand hygiene before and after donning this form of barrier protection for their hands. This item is never a substitute for hand hygiene.
What are gloves?
When performing ultrasound guided IV placements it is preferable to use multi-use ultrasound gel bottles for the procedure (Note: your response should be either "What is true?" or "What is false"?)
What is False?
(Always use single sterile gel packets)
Central line dressings should be changed this frequently.
What is every 7 days or immediately if a dressing becomes loose, soiled or damaged?
If a patient has had an indwelling urinary catheter (IUC) in place for more than this number of hours when a urine culture is ordered, the IUC should be exchanged prior to collecting the urine culture specimen.
What is 48 hours?
This is how long patients infected or colonized with C. auris must remain on isolation?
What is indefinitely?
After applying hand sanitizer, for hand hygiene to be effective, one should continue to rub hands together until this happens.
What is until their hands are dry?
For patients with accessed implanted ports, NYP carries a CHG dressing specifically designed for ports. (Note: your response should be either "What is true?" or "What is false"?)
What is TRUE?
When administering medication through a central line, after preparing the medication (including medication barcode scanning), this is the last activity that should be performed prior to accessing/touching the central line.
What is hand hygiene?
These are elements of NYP's CAUTI bundle (name 3 elements.)
Any of the following answers:
1. Aseptic insertion
2. Catheter securement
3. Daily Assessment of Need
4. Aseptic Specimen Collection
5. Gravity Drainage
6. Peri care
7. Education
These are 3 reasons that C auris is an organism of high concern
What are..
1. frequent resistance to antifungal agents
2. High mortality with invasive cases
3. Ability to cause significant outbreaks in healthcare facilities
Per the NYP fingernail policy, fingernail polish — including 'no‑chip/gel polish' — may be worn. However, nail polish is not permitted when it is in this condition.
What is chipped or peeling from the nail bed?
If a patient has an accessed implanted port, these 2 items need to be changed every 7 days
What are the dressing and the Huber needle?
To cleanse the central line insertion site during a dressing change, using the Chloraprep applicator, the skin surrounding the insertion site should be scrubbed for this duration of time when the site is a dry site (e.g., an arm).
What is approximately 30 seconds?
These are good indications for using an indwelling urinary catheter (name 3 indications).
Any of the following answers
1. Perioperative use for selected surgical procedures
2. Urinary output monitoring for critically ill patients
3. Management of urinary retention/blockage (e.g. tumors, stricture, BPH, neurogenic bladder)
4. Gross hematuria
5. Immobilization due to unstable thoracic or lumbar spine
6. As an exception, at patient’s request to improve comfort (e.g., end of life care)
These are ways to reduce the risk of C. auris transmission in health care settings (provide 3 interventions)?
Any of the following answers:
1. hand hygiene
2. isolation
3. PPE
4. environmental and equipment cleaning
5. surveillance and screening
Generally, handwashing and the use of hand sanitizer are both effective forms of hand hygiene. However, handwashing with soap and water must be performed instead of using hand sanitizer after caring for patients with these organisms (name 1 of the organisms).
What are C. diff, Norovirus, or Sapovirus?
In an effort to prevent HAIs caused by MRSA, NYP implemented universal decolonization with this antibiotic agent in 2024 for all adult ICU patients. This decision was based on a trial demonstrating a 44% reduction in bloodstream infections from any pathogen and a 37% reduction in MRSA clinical cultures with the intervention.
What is internasal mupirocin?
To cleanse the central line insertion site during a dressing change, using the Chloraprep applicator, the skin surrounding the insertion site should be scrubbed for this duration of time when the site is a moist site (e.g., the inguinal fold).
What is approximately 2 minutes?
During perineal care of an uncircumcised male patient, this anatomical structure should be retracted for proper cleansing.
What is the foreskin?
These are risk factors for C auris infection (Name 3)
Any of the following answers:
1. Indwelling devices (i.e. central lines, PEG tubes, urinary catheters)
2. Prolonged healthcare exposure
3. Residence at a ventilator capable nursing facility
4. Antifungal exposure (e.g fluconazole)
5. Broad-spectrum antibiotic exposure (e.g. carbapenems)
6. Multiple comorbidities
7. Poor functional status
Per NYP policy, when washing hands with soap and water, one should wet their hands thoroughly with water, apply soap to the palm of one hand, and then rub their hands together, creating friction for at least this many seconds, thoroughly covering all areas.
What is 15 seconds?
Generally, this item should be present and intact between an indwelling urinary catheter and its drainage bag to indicate that a closed system is maintained.
What is a tamper evident seal?